In the society in of One who Flew Over the Cuckoo's Nest, a governmental social structure is evident among the patients and staff. The head nurse, Nurse Ratched is like the governor or boss of the patients in the hospital. Although, instead of encouraging the patients to help them recover, she makes them feel like their lives outside the hospital were meaningless. After time, some men wanted to stay in the hospital voluntarily as they didn't feel that they had anything outside the hospital. For instance, Billy Bibbit was still extremely attached to his mother at the age of thirty one. On the other hand he was afraid of Nurse Ratched's strict rulings. Yet still enjoyed the structure provided to him by living in a home. However, this such structure could have been given without any harsh treatments including lobotomies, shock treatments etc. that the staff and Nurse Rached inflicted on the patients. Thus, most patients were in the pre-conventional state of mind only worrying about rewards and punishments.
Another leader in society of One Who Flew Over the Cuckoo's Nest is Randle McMurphy. Before McMurphy entered the mental ward, the patience were cowardly and depressed by the castrating Nurse Ratched. Nonetheless, McMurphy tries to help the patients rebel by affirming their sexuality and individuality. Sexuality is very important because it is an aspect of the human nature. According to Maslow's Hierarchy of needs, sex is at the bottom of the latter, meaning it is one of the basic needs of a human (along with food, shelter, and clothing). Through out the novel, it is an expression of love, and in the patients case, masculinity. The voters are then Chief Bromben and the other patients as they could either choose between listening to Nurse Ratched or rebelling with McMurphy.
In order to fix this society, Nurse Ratched must give up her strict hold on the patients and focus on helping them recover and not keeping them in the home.